Reception area of Healthy Sleep Care with two smiling women, one in a blue uniform and another in white, behind a marble-topped desk. Decor includes a large framed painting of water lilies, a glass table with notebooks, a vase with flowers, and framed awards on the wall.

Forms | Payment | Referring Physicians | Upload a file

New Patient

Send a Message
New Patient Application
Sleep Intake Form

Forms

  • These recommendations and life style choices help with physiology of your sleep and habits and support better sleep - Download PDF - You can only use this is directed by our doctors in the clinic

  • Downlaod form

  • Thanks for trusting us with health of your patient. Please use this referring form and attach clinical notes and insurance to our offices. Please fax to our updated electronic fax at 888-990-1536

  • Click this link to upload a file securely

  • Please use this LINK to download a copy of sleep diary if instructed by our team.

  • View/download useful information here

  • If directed by us, fill your forms here and review results with doctor on the next follow up.
    Notice: this forms are to only used by our established patients.

  • Download

Doctor reviewing sleep study report on a tablet in a medical office.

Payment

Clicking on bellow link will take you to our secure payment processor

Please be advised we do not store credit card informations

Pay Your Bill
A smiling healthcare worker in navy scrubs handing a credit card and a payment terminal to a woman at a reception desk in a medical office.

Referring Clinicians

We welcome referrals from physicians and other healthcare professionals and provide timely access to comprehensive sleep medicine evaluation and treatment. You may submit referrals securely using the QR code or by fax.

For a new referral, please include the completed referral slip, relevant clinical notes, insurance information, and prior sleep study results when available. You can download our referral slip using the button above.

Download Referral Slip
Referring Clinician Flyer